Thrombosis at venous insertion sites after inferior vena caval filter placement. Radiology 1989 Oct;173(1):155-7
Date
10/01/1989Pubmed ID
2675181DOI
10.1148/radiology.173.1.2675181Scopus ID
2-s2.0-0024423776 (requires institutional sign-in at Scopus site) 52 CitationsAbstract
Color Doppler flow imaging or compression ultrasound (US) was used to prospectively determine frequency of thrombosis at 54 venous insertion sites (47 in common femoral veins, seven in right internal jugular veins) after percutaneous placement of Greenfield filters for interruption of the inferior vena cava. Fifty-one filters were successfully placed in 51 patients with a dilator set or a balloon angioplasty catheter. Nine focal thrombi were detected in the common femoral vein (19%) and one in the right internal jugular vein (14%). Use of dilators induced eight thrombi (24%), compared with two (10%) from balloon catheters. The left common femoral vein had a high frequency of thrombosis, regardless of dilation technique (five of nine). Of nine patients with acute common femoral vein thrombosis, four became symptomatic within 10 days after the procedure. Patients may remain asymptomatic or have delayed symptoms; thus, US is valuable for determining patients at risk of thrombosis of the common femoral vein.
Author List
Mewissen MW, Erickson SJ, Foley WD, Lipchik EO, Olson DL, McCann KM, Schreiber ERAuthor
Scott J. Erickson MD Professor in the Radiology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
CatheterizationFemoral Vein
Filtration
Humans
Jugular Veins
Prospective Studies
Punctures
Thrombosis
Ultrasonography
Vena Cava, Inferior
